KALYANI DDS INC (NPI# 1154786648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154786648 |
| Entity Type | Organization |
| Organization Name | KALYANI DDS INC |
| Practice Address |
17024 Van Buren Blvd Ste B Riverside CA 92504-5938 |
| Mailing Address |
17586 Dry Run Ct Riverside CA 92504-8820 |
| Practice Telephone | 9518929194 |
| Mailing Telephone | 9518929194 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-04-03 |
| Authorized Official Name | DR. HARSH KALYANI (PRESIDENT) |
| Authorized Official Telephone | 9518929194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
61744 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64010 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255839668 | Kalyani Dds Inc | Dentist | 2130 Grand Ave Ste H, Chino Hills, CA 91709-4867 | 2018-01-31 |
| Street Address |
17024 VAN BUREN BLVD STE B |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-5938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073744389 | Santiago Americo Rojo | Dentist | 17024 Van Buren Blvd, Suite B, Riverside, CA 92504 | 2009-08-04 |
| 1265832786 | Harsh Kalyani | Dentist | 17024 Van Buren Blvd, Ste B, Riverside, CA 92504-5938 | 2014-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710522 | Fadi Demian | Dentist | 8990 Garfield St Ste 4, Riverside, CA 92503-3922 | 2020-08-16 |
| 1942819966 | Aaron Michael Coyoca | Dentist | 5051 Canyon Crest Dr Ste 103, Riverside, CA 92507-6035 | 2020-07-26 |
| 1205452265 | Av Family Dentistry | Dentist | 2211 University Ave, Riverside, CA 92507-4259 | 2020-06-24 |
| 1821619966 | Dr Paz Casanova Dental Group Inc | Dentist | 8151 Arlington Ave Ste R, Riverside, CA 92503-0437 | 2020-04-29 |
| 1700439668 | Sumin Kang | Dentist | 19040 Van Buren Blvd Ste 111, Riverside, CA 92508-9160 | 2019-07-19 |
| 1295397107 | Cole Cameron Scott | Dentist | 3731 Tibbetts St Ste 1, Riverside, CA 92506-2604 | 2019-07-01 |
| 1457912040 | Kashif Ahmed | Dentist | 19510 Van Buren Blvd Ste F5, Riverside, CA 92508-9458 | 2019-06-24 |
| 1831652197 | Christina Bui | Dentist | 3602 Riverside Plaza Dr Ste 101, Riverside, CA 92506-2726 | 2019-04-12 |
| 1558846725 | Riverside Family Dental, LLC | Dentist | 1445 Wampanoag Trl Unit 209, Riverside, RI 02915-1019 | 2018-10-03 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.